Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $92.36 / $344.42	Professional		$57.26	$92.36	$344.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $49.08 / $76.50	Facility		$32.97	$49.08	$76.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $50.44 / $85.85	Facility		$32.97	$50.44	$85.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $108.90 / $363.86	Professional		$61.81	$108.90	$363.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $49.08 / $76.50	Facility		$32.97	$49.08	$76.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $125.42 / $174.90	Professional		$80.61	$125.42	$174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $85.00 / $240.69	Facility		$53.63	$85.00	$240.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.95 / $363.86 / $363.86	Professional		$211.95	$363.86	$363.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $102.31 / $202.44	Professional		$57.84	$102.31	$202.44